A gravid patient (G3P2) was examined 10 minutes ago. Her cervix was 8 cm dilated and 85% effaced. The patient states that she needs to have a bowel movement. Which action should the nurse perform first?
The nurse notes no bruit or thrill to a client’s arterioveno…
The nurse notes no bruit or thrill to a client’s arteriovenous (AV) graft on physical exam. Which action should the nurse take?
The nurse understands that anti-diuretic hormone (ADH) has w…
The nurse understands that anti-diuretic hormone (ADH) has which effect on cardiac output?
The nurse is caring for a chronic hemodialysis client admitt…
The nurse is caring for a chronic hemodialysis client admitted to the intensive care unit for an acute exacerbation. Vital signs show: BP 73/35, HR 127, RR 28, O2 sat 82% with bilateral crackles. The clients current potassium level is 7.5 mEq/L. The nurse should prepare for which treatment?
A client with cancer has been told that their condition is t…
A client with cancer has been told that their condition is terminal. Which psychosocial interventions must the nurse be prepared to perform for the client and family? Select all that apply.
A 48-year-old female client chose breast-conserving surgery…
A 48-year-old female client chose breast-conserving surgery and whole-breast external beam radiation therapy for her early-stage breast cancer. What health teaching would the nurse include when preparing the client for this therapy? Select all that apply.
A patient at the emergency department is diagnosed with a co…
A patient at the emergency department is diagnosed with a concussion. The patient is accompanied by a spouse who insists on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority?
The nurse admits a client with proteinuria and urinary casts…
The nurse admits a client with proteinuria and urinary casts noted on the urinalysis (UA). The nurse can begin health promotion teaching on which modifiable risk factors of nephrosclerosis? Select all that apply.
During assessment, the nurse sees the bedside monitor displa…
During assessment, the nurse sees the bedside monitor display the rhythm below. What is the priority nursing action?
The nurse notes a client with renal failure has chronically…
The nurse notes a client with renal failure has chronically low calcium levels despite taking daily calcium supplements. What can the nurse recommend to the healthcare provider to help improve the client’s calcium level?